internal assessment-II paper - 1

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Internship assessment

Tejaswini marisa Roll no. 91 I was posted in general medicine department from    I had peripheral duties first we included both icu, nephrology and ward duties for 15days ICU DUTIES: - learnt importance of vitals monitoring - took ABG samples and learnt its interpretation and importance of ABG in diagnosis various disorders - placed ryles tube in stroke patients - did foley's catheterization - management of patient with cardiac arrest and CPR - saw endotracheal intubation NEPHROLOGY DUTIES: - saw dialysis of many patients and importance of vitals monitoring predialysis intradialysis and post dialysis - learnt management of acute onset of  high blood pressure in CKD patient - learnt management of acute onset pulmonary edema in cases of CKD  - learnt about complications(flash pulmonary edema, reduced clearance of various drugs such as OHA leading to recurrent episodes of hypoglycemia,  anemia due to CKD, gross ascitis)  seen in patient of CKD ON MHD - assisst...
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52M ?AMOEBIC LIVER ABSCESS

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TEJASWINI MARISA(INTERN) This is online E log book to discuss our patient’s de-identified health data shared after taking   his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . Chief complaints: Patient with complaints of right sided abdominal pain since 15days Decreased appetite since 15days Decreased sleep since 15days HOPI : Patient was apparently alright 15days back then he had 2 to 3 episodes of vomitings after binge of alcohol(2 bottles of toddy) developed low grade fever, intermittent, not associated with chils and rigors No diurnal variation  No h/o cough, cold, burning micturition, loose stools H/o vomitings present non...
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A 30 years old female with ITP and dengue hemorrhagic fever

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This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 30 years old female came to opd with chief complaints of  bleeding from gums  since yesterday morning with  multiple reddish swelling in oral cavity Multiple small swellings  all over the body ( petechiae)  since yesterday evening Increased menstr...
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